Is Sculptra suitable for dark under eye circles?

Question

My dermatologist recommended Sculptra for the treatment of dark under eye circles. However, the Sculptra website says that the product is not intended for use around the eyes. In the medical community, is this an acceptable treatment for dark under eye circles or should I be concerned with the recommendation? Thanks.

Sabrina Fabi, MD · Answer

Sculptra under the eyes, strictly for "dark circles", is not something I would advise. There is typically a level of volume loss in the midface that accounts for the "circles" one perceives, and if placed appropriately by someone who uses a great deal of Sculptra, you could improve the appearance of dark circles by augmenting the cheek. Otherwise there are other products one could use directly under the eyes that are reversible and more commonly used in the area. I would make sure you seek treatment from a board-certified dermatologist or plastic surgeon for Sculptra if you are considering it.

Ralph Trey Aquadro, MD · Answer

I do NOT recommend Sculptra for injection around the eyes in my practice.  There may be a well qualified physician that has good results around the eyes.  For me, the risk outweighs the benefit.Sculptra works well for rejuvenation of the lateral face--cheeks, temples and jaw line.  It is not for everyone, as it requires multiple treatments.  I use it in patients that want a gradual improvement that is long lasting. Trey Aquadro, M.D.

Timothy R. Miller, MD · Answer

Sculptra is an excellent product and treatment for returning fullness and youthful contours to various areas of the face including the cheeks (lateral and medial), temples, and jawline.  However, Sculptra should not be used around the eyes or mouth as the risk of nodule formation is too great.Dark circles around the eyes are rarely resolved by adding a filler to the area. Laser treatments, skin care products, fat transfer, and surgery can all improve dark circles under the eye, but which one (or more) to use is based on the cause of the dark circles, which should be evaluated during an in office consultation.  I hope this helps.

Harold J. Kaplan, MD · Answer

Hi Helmut.  The Sculptra website is not the last word on where the product is commonly used because the company is only allowed to market FDA approved (facial) sites.  With that said, Sculptra is not the proper product for under the eyes.  Sculptra is commonly injected very deep in the skin, even directly on the bone.  Because the dark circles under the eyes are above an area WITHOUT any bone, it's not a good choice of fillers.  Look for a practitioner that uses Restylane or Juevederm and uses a technique where they inject "under the muscle".  You will have a much better chance of getting a good outcome if you look for these two things.  Good luck.See pictures of patients that have had this procedure at the link below.

Stephen Prendiville, MD · Answer

Sculptra is a wonderful gradual facial volumizer that is relatively problem free as long as treatment guidelines are followed and aggressive massage is employed after the procedure.  If you have volume deficiency in your cheeks, it can be beneficial, but will not be effective for pigmentation under the eyes. However, sometimes patients describe diminished cheek volume as "dark circles" at which point adding volume can be aesthtically helpful.

Nissan Pilest, MD · Answer

Sculptra is
used to correct shallow to deep facial wrinkles and folds, it is specifically
designed to stimulate natural collagen growth over an extended period of time
with multiple sessions. Once you are done with your Sculptra treatment sessions
the results can last up to 2 years.

Sculptra is
not appropriate to use under the eye, the area under the eye is very thin and
does not get injected as deeply.  I
prefer to inject diluted Restylane in the under eye hollows.

Consult with
a Board Certified Dermatologist to see what treatment is best for you.

Sheryl D. Clark, MD, FAAD · Answer

Sculptra is not the best filler for hollows under the eyes Restylane and Beletero are excellent choices for this problem.

Daniel Shapiro, MD · Answer

Sculptra is not the best option for a filler for under the eyes. You are better off with something like Restylane to treat the dark circles.

Stephen Weber MD, FACS · Answer

The main risk of using Sculptra around the eyes is nodules. It is impossible to comment on your Dermatologist's recommendations without meeting you or at least evaluating photos but if your main concern is undereye circles I usually recommend a hyaluronic acid based filler such as Juvederm or Restylane as there is a very low risk of nodule formation with these products. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Joseph W. Aguiar, MD - Account Suspended · Answer

Sculptra is a great product to add volume and contour to the cheeks, temples, and jaw line.  However, Sculptra is not appropriate for under the eyes.I have had great success with Restylane in tear troughs.  However, I caution you when selecting a doctor to inject in the tear troughs.  The injections need to be performed by a physician that has had success injecting in this area.  If injected improperly, you can have uneven, lumpy, and puffy under eyes.

Is Sculptra suitable for dark under eye circles?

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